Marked attenuation of ultradian and circadian rhythms of dehydroepiandrosterone in postmenopausal women: evidence for a reduced 17,20-desmolase enzymatic activity.
Abstract
Circulating levels of adrenal delta 5-androgens [dehydroepiandrosterone (DHEA), and its sulfate (DS)] selectively decrease with age in both sexes, while cortisol secretion remains unchanged. The mechanism(s) to account for this dissociation is unclear. We tested the hypothesis that a reduced enzymatic activity for delta 5-androgen biosynthesis may be responsible for this phenomenon by examining the ultradian and circadian rhythmicity (15-min sampling frequency for 24 h) of DHEA and cortisol and the responsiveness of DHEA, DS, and cortisol to human CRF stimulation and by the analysis of relative enzymatic activities in the biosynthesis of adrenal steroids in older postmenopausal women (PMW) and younger cycling women (NCW). Our data show that the timing of the circadian rhythm of DHEA secretion was not altered, but the acrophase amplitude was decreased (P less than 0.01) in aged PMW compared to NCW. While the pulse frequency of DHEA remained unchanged, the pulse amplitude was markedly attenuated in PMW compared with NCW (3.5 +/- 0.6 vs. 8.1 +/- 1.1 nmol/L; P less than 0.01). Correspondingly, the 24-h mean of DHEA was markedly reduced (P less than 0.001) in PMW (5.5 +/- 0.8 nmol/L) from that in NCW (12.1 +/- 1.4 nmol/L). For cortisol, all parameters were similar between the two groups. Thus, compared to NCW, the decline of circulating DHEA level in PMW was expressed by attenuations of pulse amplitude and circadian amplitude, without changes in the timing of the circadian rhythm or pulse frequency. Further, DHEA and DS, but not cortisol, responses to 8-h hCRF infusion were significantly (P less than 0.01) diminished in PMW. These findings together with decreased product/precursor ratios for DHEA/17-hydroxypregnenolone (P less than 0.01) and androstenedione/17-hydroxyprogesterone (P less than 0.05) suggest a reduction of 17,20-desmolase enzymatic activity in PMW compared to that in NCW. Steroid ratios for 3 beta-hydroxysteroid dehydrogenase and 17 alpha-hydroxylase were unaltered. We conclude from these preliminary data that the disparity of DHEA and cortisol secretion in aged PMW is probably related to an intraadrenal event, resulting from a decrease in 17,20-desmolase expression, which governs the biosynthesis of delta 5-adrenal androgen.
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Circulating levels of DHEA comparable to those observed in normal adult premenopausal women exert a potent inhibitory effect on development of DMBA-induced mammary carcinoma in the rat.
“Such data clearly demonstrate that circulating levels of the precursor adrenal steroid DHEA comparable to those observed in normal adult premenopausal women (259) exert a potent inhibitory effect on the development of mammary carcinoma induced by DMBA in the rat.”
From Endocrine and intracrine sources of androgens in women: inhibition of breast cancer and other roles of androgens and their precursor dehydroepiandrosterone (2003) · cites this paper as [259]
Serum DHEA levels in normal 20- to 30-yr-old women range between 8.3 and 17.3 nM.
“the serum DHEA levels in normal 20-to 30-yr-old women ranges between 8.3 and 17.3 nm (259).”
From Endocrine and intracrine sources of androgens in women: inhibition of breast cancer and other roles of androgens and their precursor dehydroepiandrosterone (2003) · cites this paper as [259]
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- Authors
- LIU, C. H., LAUGHLIN, G. A., FISCHER, U. G., & YEN, S. S. C.
- Affiliations
- University of California San Diego (US)
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 1990-10
- Volume
- 71
- Issue
- 4
- Pages
- 900-906
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2054185347
- Cited by
- 155
- References
- 26
- Citations by year
- 2023: 2 · 2022: 2 · 2021: 1 · 2020: 2 · 2019: 2 · 2017: 2 · 2015: 2 · 2014: 1 · 2013: 5 · 2012: 2
- FWCI
- 2.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Center for Research Resources (RR00827, M01RR000827)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD-12303-12)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Keywords
- dehydroepiandrosterone, DHEA sulfate, circadian rhythm, ultradian rhythms, postmenopausal women, 17,20-desmolase, adrenal steroidogenesis, cortisol, aging, 17-hydroxypregnenolone, androstenedione, 17-hydroxyprogesterone, pulse amplitude, acrophase, women's health
- MeSH terms
- Adrenal Glands, Adrenocorticotropic Hormone, Adult, Aging, Aldehyde-Lyases, Circadian Rhythm, Corticotropin-Releasing Hormone, Cytochrome P-450 Enzyme System, Dehydroepiandrosterone, Female, Humans, Hydrocortisone, Menopause, Middle Aged, Steroid 17-alpha-Hydroxylase, Dehydroepiandrosterone Sulfate
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